Healthcare Provider Details

I. General information

NPI: 1093645509
Provider Name (Legal Business Name): SARAH ELIZABETH HAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 BULL CREEK RD
MOHAWK WV
24862-7064
US

IV. Provider business mailing address

PO BOX 671
PANTHER WV
24872-0671
US

V. Phone/Fax

Practice location:
  • Phone: 681-323-1445
  • Fax:
Mailing address:
  • Phone: 681-323-1445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: